The URL can be used to link to this page

ELC-17-1153 Per7ri#jv6, E C -17-1153 Miami Shores Village f �TyF}8:EGtM :_+C>t117ma# II 10050 N.E.2nd Avenue NEWork Classtt��c£�tta>3.Add ?ia>I�/AIteration Miami Shores,FL 33138-0000 y�� oe Phone: (305)795-2204 ' "' P � PRVED F`R'°A p. Ex iration: 10128/2017 I,su "Hate:5!1101 Project Address Parcel Number Applicant 9020 NE 8 Avenue Number: 11 1132060420090 ANA TIKVESLI Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell _ ANA TIKVESLI 9020 NE 8 Avenue (786)206-6419 MIAMI SHORES FL 33138- — 9020 NE 8 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $M900.00 MAX ELECTRIC CORPORATION (305)498-5422 (786)277-6278 Total Sq Feet: 0 Type of Work:CHANGE PANEL 100 AMP Available Inspections: Additional Info:CHANGE PANEL 100 AMP Inspection Type: Classification:Commercial Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# ELC-4-17-63824 DBPR Fee $2.00 04/26/2017 Credit Card $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 05/01/2017 Credit Card $58.60 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRI AL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI • certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin uthermore,I authorize the above-named contractor to do the work stated. May 01, 2017 Authorized ature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 01,2017 1 P Miami Shores Village � f1l" Building Department RECEIV 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 PR 2 6 1011 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 S-0-44 FBC 201q BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL Ej PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP qCONTRACTOR DRAWINGS JOB ADDRESS: 1® 2-0 I?\)�' `)e— =1�-- I -- 2 City' Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): A MrA CR EGQ—! ! VV�fs t =- Phone#: 7 8 6 2-06 (o Lf I q Address: r\l C- E3 A') �' 1 —- 22 City: Hi CF2_-S State: �FL Tenant/Lessee Name: n—NA �[VY <,= Phone#_1&G2bf�1 Email: A e a C-0—I L� ® l- C-0pn CONTRACTOR:Company Name: 40-t-3 - Phone#: Address: City: State: Zip: 25-6 Qualifier Name: '9..c. .w�� F�M-�A'�' - Phone#: State Certification or Registration#: EC.ti3o0�'0 _ Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ��-� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration, ❑ New Repair/Replace F-1Demolition Description of Work: QJW_2S t (`"4b A&A. Specify color of color thru tile: Submittal Fee$ Permit Fee$ /0j''0,0� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) riding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) i��k U('1 S�cQpa , 1 o i2T`Z0,S- MortgageLender's Address ii �S© -415 \14 rJ �� lI City h _Lu VC--Ul ll l State l f-/- Zip 7 S0 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. SigrRdpol;UG Signature CIN OF BUENOS AIRS��,,�ER or AGENT CONTRACTOR EMBASSY OF THE UNITj� STAT68 ®F All The foregoing instruwas acknowledged before me this The foregoing instrument was acknowledged before me this �n day of kin(-L 120 , by 2'S qday of �`- 20 'Y�• by 40Ck I ��>✓� �� c ueo U ,who is personally known to '�/�•[Y•�t�.J ,who is personally known to me or who has produced PC1/ b �— as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign Print: 'h,9 RCIT Print: o BCu 037631 Seal: Vice Consul Seal: ` p��L.-4WA M1$S10H 2017 xrg-EXPIRES:JULY 21,, www{ARONNOTARY-CM �nI its APPROVED BY i` O PW tJ- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)